Author Question: An 11-year-old boy with skin lesions on his trunk characteristic of ringworm has been brought to the ... (Read 39 times)

kodithompson · **on:** Jun 25, 2018

An 11-year-old boy with skin lesions on his trunk characteristic of ringworm has been brought to the family's primary care provider by his mother.

Which of the following aspects of the clinician's assessment relates most directly to the suspected diagnosis?
A)
Previous infection with other parasitic worms
B)
Potential contact with the fungus from pets or other children
C)
Allergic reactions to drugs and environmental substances
D)
The child's infant immunization history

Question 2

Following a progressive onset of fatigue, aching, and joint stiffness over the last 2 years, a 69-year-old male has recently been diagnosed with rheumatoid arthritis (RA).

Which of the following teaching points should his primary care physician include during the office visit in which this diagnosis is communicated to the client?
A)
The symptoms you've been experiencing are the result of damage inside your joints, but I'll start you medications that will reverse this damage.
B)
It's important that you maximize your level of activity, since decreasing your mobility will worsen the disease.
C)
The best treatment plan is to try all other available treatments before resorting to using medications.
D)
Steroids and anti-inflammatory drugs that I'll prescribe will likely bring some relief to your symptoms.

mathjasmine · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Ringworm, or tinea, has a fungal etiology. Parasites, allergies, and immunizations would be unlikely to relate directly to the etiology.

Answer to Question 2

Ans:
D

Feedback:

Current treatment guidelines for RA involve early and aggressive pharmacological treatment, including NSAIDs and corticosteroids. Damage cannot be reversed, and while therapeutic exercise plays a role in treatment, rest is also important.